Get the free Certificate of Vision for Bioptic Drivers (State Form 13226) - forms in
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Reset FormCERTIFICATE OF VISION FOR BIOPIC DRIVERSBUREAU OF MOTOR VEHICLES
Credential Programs
100 North Senate Avenue
Room N481
Indianapolis, IN 46204State Form 13226 (R4 / 1212)BUREAU OF MOTOR VEHICLES
INSTRUCTIONS:1.
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How to fill out certificate of vision for
How to fill out a certificate of vision for:
01
Start by entering the personal information of the individual for whom the certificate is being filled out. This includes their full name, date of birth, and contact information.
02
Next, indicate the purpose of the certificate. Specify whether it is for a driver's license, employment, medical evaluation, or any other relevant reason.
03
Provide details about the individual's visual acuity. Include information about their corrected and uncorrected vision, visual acuity in each eye, and any other measurements or tests that were conducted.
04
If applicable, mention any visual impairments or conditions that the individual may have. This could include issues such as color blindness, astigmatism, or low vision.
05
If the certificate requires a professional opinion, make sure to have a qualified optometrist or ophthalmologist complete the relevant sections. They may need to sign and provide their license number or other identification.
06
Finally, review the filled out certificate for any errors or missing information. Double-check all the entries and ensure that everything is accurate and complete.
Who needs a certificate of vision for:
01
Individuals applying for a driver's license or renewing an existing one often need a certificate of vision to demonstrate that they meet the necessary visual requirements for safe driving.
02
Some employers may request a certificate of vision to ensure that potential employees have adequate vision for certain job responsibilities.
03
Medical professionals may require a certificate of vision for patients undergoing medical evaluations, particularly if visual impairments or conditions may affect their overall health or treatment plans.
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What is certificate of vision for?
Certificate of vision is required for individuals to prove that their vision meets certain standards for driving.
Who is required to file certificate of vision for?
Individuals applying for or renewing a driver's license may be required to file a certificate of vision.
How to fill out certificate of vision for?
To fill out a certificate of vision, individuals must visit an optometrist or ophthalmologist for an eye examination and have the form completed by the provider.
What is the purpose of certificate of vision for?
The purpose of a certificate of vision is to ensure that drivers have adequate vision to operate a vehicle safely.
What information must be reported on certificate of vision for?
The certificate of vision must include the individual's name, date of birth, eye examination results, and provider information.
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